Individual
MARIAN DENISE ELLINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, MOT
Contact information
Practice address
1301 JUSTIN RD STE 206, LEWISVILLE, TX 75077-2150
(972) 317-7775
(972) 317-6356
Mailing address
6000 ELDORADO PKWY APT 931, FRISCO, TX 75033-3556
(205) 601-2573
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
115357
TX
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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